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The clinic complements other strategies, such as an onsite café with healthy meals and snacks and an employee garden begun in 2013 that now counts 65 employees planting and harvesting their own veggies. Other weapons in Trek’s wellness arsenal include a “Twinkie Tax” (higher prices for unhealthier options in the café) and “Lavatory Learning” (wellness messages in restrooms, where they are difficult to miss).

Burke also stays heavily involved in the efforts — he regularly leads a “Beat the Boss” challenge, for example, daring employees to beat him on an 11-mile bike course. Those who do earn a handshake and $100 on the spot.

The upshot of all this? Pagels confirms decreases in health risks, treatment costs for major diseases and absences since taking the stronger stance. Employees’ average biometric scores are rising, too — from 772 in 2009 to 863 in 2014, she reports.

And they’re not complaining one bit. “I’ve never yet had anyone come to me with a negative reaction to what we’ve done,” she says.

Naomi Pilosof Ionita talks about what she brings to Menlo Ventures from her years as one of what is still a small number of female tech leaders and from her experience as vice president of growth at Invoice2go and as a product lead at Evernote.